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General NPI Number Information
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NPI Number | 1952823445
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Entity Type | Organization
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Legal Business Name | OPEN DOOR PSYCHIATRIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 07/17/2017
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Provider Practice Location Address
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Address Line | 3717 DECATUR AVE STE 1
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City | KENSINGTON
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State | MD
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Zip | 20895-2148
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Country | US
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Telephone | 240-630-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 5906 BEECH AVE
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City | BETHESDA
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State | MD
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Zip | 20817-3423
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Country | US
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Telephone | 240-630-2220
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. BITHIAH RAE REED
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Credential | PHD, ABPP, MSCP
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Telephone | 240-630-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 04376
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License Number State | MD
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